Matt Wolfe was quoted extensively in Home Health Care News on the potential for increased audits once a new Centers for Medicare and Medicaid Services (CMS) policy goes into effect: the Patient-Driven Groupings Model (PDGM).
“We often see an increase in the volume of Medicare audit activity when documentation requirements or payment models change,” Matt said in the article. “This is particularly problematic where the new requirements are unclear.”
“Every provider should have a robust compliance program — not just a compliance plan that they write and put on a shelf somewhere — but that ensures providers are proactive in conducting internal records reviews on a regular basis,” he added.
Matt also described key steps home health providers should take to navigate audits and the Medicare appeals process. You can read the full article here. Home Health Care News is a leading publication focused on the senior in-home care industry.